This practical handbook is an essential reference for GPs when dealing with musculoskeletal disorders, as well as a useful exam prep aid for the common MSK cases that occur in the CSA. Responding to increasing pressures on GPs to reduce the number of referrals and treat more patients in the community, the book covers a breadth of orthopaedic disorders, with clear colour photographs and diagrams to demonstrate techniques in practice. Chapters are authored by experts in each disorder with GP input, putting a strong focus on diagnosis and easy-to-follow processes for deciding courses of action and investigation. Each section explores the range of treatment options for that topic, including step-by-step injection techniques where relevant, and signposts need-to-know areas with 'red flags'. This is an important reach-for guide to assist GPs with easy diagnosis and to provide clear direction on next recommended steps.It will also be useful for medical students taking orthopaedics modules.

Utilizing a practical, high-yield presentation, this textbook is a comprehensive review of the most common shoulder and elbow diagnoses and management strategies. It allows easy access to pertinent information for residents and fellows while preparing for rounds, the clinic and the operating room and also aides residents studying for their yearly in-training exam (OITE). Each topic is organized in a consistent, bulleted format so that the information flows in a logic manner: history, physical examination, imaging (when and what to order), and the most appropriate treatment algorithm. The most common classification systems are emphasized and illustrated, and treatment algorithms are further organized into non-operative and operative and include surgical approaches as well as the risks and complications of surgical intervention. The shoulder and elbow are covered in their own exclusive sections, with each chapter discussing the unique diagnostic considerations for each anatomic structure and the types of injuries to expect. Topics in the shoulder section include osteoarthritis, rotator cuff arthropathy and tears, instability, stiffness, SLAP tears and biceps tendinitis, and fractures of the clavicle and scapula. Topics in the elbow section include biceps and triceps rupture, lateral and medical epicondylitis, instability and stiffness, and elbow fractures - distal humerus, Monteggia, the terrible triad and more. Case material, key points and takeaways, and question-and-answer elements are included to enhance the text's overall utility. There is currently no textbook on the shoulder and elbow tailored specifically for orthopedic residents, fellows and senior medical students. The Resident's Guide to Shoulder and Elbow Surgery therefore provides a much-needed resource for early-career clinicians and surgeons.

Injury to the anterior cruciate ligament (ACL) is common and typically affects young individuals; in particular, girls have higher rates of sustaining non-contact ACL injuries than boys when they engage in sports that involve jumping, pivoting, and changing direction. Multiple intrinsic and extrinsic risk factors for ACL injury have been identified, including anatomic variations, neuromuscular deficits, hormonal status and other related factors. Despite a lack of scientifically validated and published guidelines to help clinicians decide between conservative and surgical treatment, patient-specific criteria, such as age, pain, recurrent joint instability, desired level of activity, occupation and presence of potential concomitant injuries, should be considered. Neuromuscular training can reduce the risk of ACL injury, especially when combined with other strength training exercises. Chapter One in this book outlines the current state of knowledge regarding the risk factors, treatment and prevention of ACL injuries. Chapter Two provides is a better understanding of what associated factors are identified following ACL tear and explore the current understanding of the impact these have on treatment and subsequent outcome. The final chapter discusses surgical and rehabilitation concepts of matrix-induced autologous chondrocyte implantation in the treatment of knee articular cartilage defects.

Since the publication of the first edition in 1959, Apley's System of Orthopaedics and Fractures has been an essential textbook for those seeking to understand the structure and function of the musculoskeletal system, its diseases and its response to trauma. The book's success was initiated by the late Alan Apley's skills as a teacher, and the care and forethought that he brought to the presentation of the content.
The current authors have developed and extended this foundation to produce a thoroughly modern textbook of orthopaedic surgery, bringing complementary expertise while retaining the book's characteristic philosophy and approach. They are joined by a selection of expert contributors from around the world, who add material on a wide variety of subjects including radiology, open fractures, neuromuscular disorders, and inflammatory arthropathies.
This 9th edition echoes its predecessors in following Apley's approach to the orthopaedic patient. As before, the work is divided ino three section: General Orthopaedics, Regional Orthopaedics, and Fractures and Joint Injuries. The material has been fully updated and revised, including the replacement of the majority of the photographs, giving this edition a modern and relevant feel. The illustrations are all provided in a downloadable form on the book's accompanying website.
Apley's System's wide readership of practicing orthopaedic surgeons, postgraduate trainees and residents in orthopaedics and general surgery, A&E specialists and physiotherapists is evidence of the author's ability to instruct and inspire. The book is a trully fitting introduction to modern-day orthopaedics.

The vast majority of orthopaedic care takes place not in the orthopaedic surgeon's office or operating room but in various primary care settings. Essential Orthopaedics, 2nd Edition, provides concise, practical guidance from noted authority Dr. Mark D. Miller, along with a stellar editorial team and numerous contributors from both orthopaedics and primary care. Using a templated, bulleted format, it delivers the information you need on diagnosis, management, and appropriate referrals for adult and pediatric patients. It's the perfect, everyday orthopaedic reference for primary care physicians, physician assistants, nurse practitioners, physical therapists, and athletic trainers in the clinic or training room. Offers expert insight to help you confidently diagnose and treat sprains, fractures, arthritis and bursitis pain, and other musculoskeletal problems, or refer them when appropriate. Covers topics of high importance in orthopaedic care: anatomy and terminology, radiologic evaluation of orthopaedic conditions, principles of fracture management, and special considerations for the obese, the elderly, athletes, those with comorbidities, and other patient populations. Features 40 videos covering injections, physical examinations, common procedures, and more. Includes 12 new chapters with current information on physical exam of the hip and pelvis, femoroacetabular impingement (FAI), athletic pubalgia, state-of-the-art surgical techniques, and new imaging information, particularly in the area of musculoskeletal ultrasound. Provides new ICD-10 codes for common orthopaedic conditions. Features diagnostic algorithms, specific steps for treatment, and full-color illustrations throughout. Enhanced eBook version included with purchase, which allows you to access all of the text, figures, and references from the book on a variety of devices

This is a collection of cases that will definitely interest every reader with or without a surgical background. These surgical cases are stories the author encountered during his brief stint in orthopaedics in Sri Lanka during the past 14 years. The collection includes some stories of rare orthopaedic conditions and some major trauma situations. Please note that some of the photographs can be disturbing.

There are various underlying causes which initiate the sequence of events resulting in compartment syndrome including fractures, bleeding, tightly applied casts or extrinsic compressions devices, burns or vigorous exercise. The first chapter of this book serves to review the current understanding of ACS's pathophysiology and highlight implications for the modernization of diagnosis and treatment. The second chapter reviews the evidence relevant to how anesthesiologists can influence the genesis of compartment syndrome. Anesthesia may influence the development of CS through the use of regional anesthesia, optimum blood pressure control and oxygen delivery, and tailored analgesia in the peri-operative period. It provides support for the best anesthesia practices in an effort to avoid this complication which may have serious adverse effects for the patient. The three essential components of conventional pressure monitoring systems are examined in Chapter 3, which can assist in the diagnosis of CS. In Chapter 4, the authors present their research on acute limb compartment syndrome (LCS), which when left untreated, can result in muscle necrosis and limb loss, and in severe cases, death. Both the prevention and treatment of compartment syndrome in severe cases is examined in detail. Chapter 5 focuses on lower limb compartment syndrome, a clinical entity resulting from increased pressure in a non-expansile tissue space, which is associated with significant morbidity and mortality. Chapter 6 focuses on Paraspinal Compartment Syndrome (PSCS), resulting in the "Bourdon tube effect." The last chapter, Chapter 8, reviews orbital compartment syndrome (OCS), a rare but treatable ophthalmic surgical emergency, caused most often by a retrobulbar hematoma, facial trauma being the most frequent etiological factor

There has been a shift in the delivery of trauma and orthopaedic services from the specialised to the sub-specialised, while being coupled with a greater multidisciplinary involvement. There are many healthcare professionals involved in the care of trauma and orthopaedic patients, ranging from surgeons, other medical specialities, ward and nursing staff, as well as podiatrists, orthotists, physiotherapists, occupational therapists and social workers. As a result, there is no other up-to-date book available that adequately covers the generality of trauma and orthopaedics, and at the same time appreciates the multidisciplinary approach. This book provides a platform allowing all disciplines to learn about the multifaceted care of these patients with an aim to enhance understanding, promote collaboration and allow the optimisation of care for trauma and orthopaedic patients. The book is aimed at doctors, nursing staff, physiotherapists, occupational therapists and all other staff involved in the care of trauma and orthopaedic patients.

Die neu uberarbeitete und erweiterte Rontgenfibel dient dem angehenden Radiologen als Einfuhrung und Hilfestellung in den verschiedenen Disziplinen seines Fachgebiets. Sie informiert schnell und umfassend uber alles, was fur die radiologische Untersuchung wichtig ist: von der Indikation uber Instrumentarium/Apparaturen und deren praktische Anwendung bis hin zur Medikation. Die konventionellen radiologischen Verfahren werden ebenso dargestellt wie Computertomographie, Dopplersonographie, spezifische Techniken in der Neuro-und der Kinderradiologie sowie die Grundprinzipien der minimal-invasiven therapeutischen Verfahren. Dabei halten sich die einzelnen Kapitel eng an den chronologischen Ablauf der jeweiligen Untersuchung; vorangestellt sind ihnen Entscheidungshifen zur Prufung der Indikation (Rontgenverordung ) und die notigen vorbereitenden Massnahmen."

This book is concerned with a trend of reconstructive surgical orthopedics using reparative potential of the organism. It presents a detailed description of combined surgical treatment methods of orthopedic pathologies in children as well as experimental substantiation. The first part of the monograph presents experimental studies concerning the combination of external fixation (Ilizarov method) and flexible intramedullary nailing (inert and bioactive) in limb lengthening. A separate chapter deals with a study of peculiarities in the influence of intramedullary transphyseal nailing on the longitudinal growth in tibia. In the clinical part of the monograph, a detailed description of combined surgical treatments (external fixation and flexible intramedullary nailing) in children of length discrepancy and deformities of limbs is presented. One can find results and peculiarities of management of deformities and shortenings in various etiologies, including congenital malformation, osteogenesis imperfection, and orthopedic complications in calcium and phosphor metabolic imbalance. This catalog also contains a review of conventional bioactive implants used in orthopedic practice. Also, new data of flexible intramedullary nailing application with bioactive coating in different adolescent orthopedic pathologies is presented. Variants and advantages of combined techniques using external and internal fixation in spine surgery are depicted. According to nosological groups, indications and methods of correction are defined. Along with a detailed description of new methods of combined surgical treatment, vast materials illustrating short and long term results are demonstrated.

Inflammation or irritation of the bursa in the major joints is most often caused by repetitive, minor impact on the area, or from a sudden, more serious injury. Age also plays a role. Overuse or injury to the joint at work or play can also increase a person's risk of bursitis. Incorrect posture at work or home and poor stretching or conditioning before exercise can also lead to bursitis. Anatomic deformities may also add stress on a bursa sac, causing bursitis. Stress or inflammation from other conditions, such as rheumatoid arthritis, gout, psoriatic arthritis, thyroid disorders, or unusual medication reactions may also increase a person's risk. In addition, an infection can occasionally lead to inflammation of a bursa. The most common symptoms of bursitis are pain, stiffness and swelling. The pain may build up gradually or be sudden and severe, especially if calcium deposits are present. Bursitis diagnosis may occur after a clinical examination and it is usually confirmed by imaging such as with an ultrasound or MRI. X-ray images can't positively establish the diagnosis of bursitis, but they can help to exclude other causes of your discomfort. Bursitis can be treated in a number of ways, including rest, nonsteroidal anti-inflammatory drugs, corticosteroids, injections of local anaesthetic or corticosteroids, physical therapy and, in rare cases, surgery. The authors also discuss the treatment options for bursitis in this book.

In the last 20 years, fundamental research to repair the spinal cord has yielded positive results and today, there is real hope that a cure might be found for the treatment of spinal injuries. This has only been possible because in the last 70 years, patients with a traumatic injury of the spinal cord have been kept alive through conservative forms of treatment and returned to useful independent lives. It is salutary at this stage to look at how this conservative treatment developed. This book begins by providing a history of the treatment of spinal cord injuries and continues by examining the pertinent epidemiology, injury characteristics, and outcomes of spinal cord injury in children. It also discusses anaesthetic management of patients with chronic spinal cord injury; morphological changes of toenails in hemiplegia; and spasticity.

In this book, the complete development of an external intelligent knee prosthesis created by the Mechatronics Research Group (MRG) was presented. This project brought out several advances in the prosthetic field which the authors discuss in detail. The second chapter examines the use of finite element modeling for understanding knee prosthesis biomechanics, fundamental to answering clinical question in the field. Also looked at are the basic characteristics of knee prostheses that must be complied with in order to provide a safe and biomechanical performance to its users during walking. Other chapters present the main results from a project whose main focus was to evaluate the tibial inserts wear and to obtain the possibility to control the total knee prosthesis (TKPs) wear process; whether screening and decolonisation (S&D) is effective in reducing the rate of postoperative infection after elective knee joint arthroplasty and whether it's cost-effective; and finally, a review of the current literature, as well as some personal experiences, on assessing the reliability of patient specific instrument system in total knee arthroplasty (TKA).

Die optimale Versorgung auf einen Blick fur alle relevanten Frakturen: das ausgeklugelte Farbleitsystem ermoglicht die schnelle Einordnung gemass der AO-Klassifikation, die schematische Darstellung der Therapieoptionen fuhrt zum richtigen Implantat, zahlreiche Bildserien mit Versorgungsbeispielen illustrieren die Moglichkeiten der Osteosynthese.

Qualitatsorientiertes Frakturmanagement leicht gemacht: Fur jeden Frakturtyp werden Unfallmechanismus, Klinik und bildgebende Verfahren vorgestellt. Neben der AO-Klassifikation werden weitere gangige Klassifikationen berucksichtigt. Die Instabilitatskriterien der einzelnen Frakturen sind stichpunktartig aufgelistet. Ist die Entscheidung fur eine Osteosynthese gefallen, helfen Tipps und Tricks bei der effektiven Vorbereitung und Durchfuhrung der Operation weiter."

The effects of the bone morphogenetic proteins (BMPs) family on bone formation are well documented, but the transforming growth factor (TGF)-beta ( ) isoforms are much less studied. The product of 20 years of study, Induction of Bone Formation in Primates: The Transforming Growth Factor- 3 sums up editor Ugo Ripamonti's research into the osteogenic activity of the three mammalian TGF- isoforms, particularly in primates. It explores how the mammalian TGF- isoforms have the potential to shed light on the apparent redundancy of bone induction signaling. The book unearths the profound and important bone inductive activity of the TGF- 3 isoform. It includes accounts of extensive research in non-human primates from craniofacial tissue regeneration, heterotopic tissue induction, and chapters on periodontal tissue regeneration and synergistic induction of bone formation. It also discusses the future clinical role of the TGF- isoform, including in human studies. This book contributes to the fascinating history of BMP and TGF- research at the intersection of molecular biology, tissue induction, bone regeneration, and craniofacial surgery. It provides a revolutionary awakening to new possibilities in skeletal reconstruction, tissue engineering, and molecular and cellular biology.

Thoroughly updated to reflect the latest advances and technologies, Braddom's Physical Medicine and Rehabilitation, 6th Edition, remains the market leader in the field of PM&R. For more than 20 years, this bestselling reference has been the go-to resource for the entire rehabilitation team, providing in-depth coverage of essential core principles along with the latest research, technologies, and procedures that enhance patient care and facilitate optimal return to function. In this edition, lead editor Dr. David X. Cifu and his team of expert associate editors and contributing authors employ a more succinct format that emphasizes need-to-know material, incorporating new key summary features, including high-yield information and study sheets for problem-based learning. Focuses more heavily on rehabilitation, with case studies throughout and more comprehensive coverage of stroke evaluation, rehabilitation, and therapies. Provides expanded information on key topics such as interventional pain management options, gait and prosthetics, USG, fluoroscopy, electrodiagnosis and more. Features a new chapter on Occupational Medicine and Vocational Rehabilitation, plus enhanced coverage of the neurogenic bladder, rehabilitation and prosthetic restoration in upper limb amputation, and acute medical conditions including cardiac disease, medical frailty, and renal failure. Discusses quality and outcome measures for medical rehabilitation, practical aspects of impairment rating and disability determination, integrative medicine in rehabilitation, and assistive technology. Offers highly illustrated, templated chapters that are easy to navigate without sacrificing coverage of key topics. Includes access to dozens of even more practical videos and hundreds of integrated self-assessment questions for more effective learning and retention. Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.

A good knowledge of descriptive, surgical and functional anatomy and biomechanics of the extensor tendons of the hand is fundamental for adequate surgical and rehabilitation management of their lesions. Extensor tendons are immediately localised under skin which makes them vulnerable to trauma. They are divided into extrinsic and intrinsic systems with complicated anatomy and biomechanics. This book examines different effective rehabilitation strategies to treat and repair tendons as well as discussing the anatomy and biomechanics of extensor tendons.

The Royal College of Surgeons' of England two-day "definitive surgical trauma skills course" is run by the authors. The course began in 1997 but a new syllabus has recently been put in place.The focus is on thoracic ,abdominal and vascular injuries, caused by both penetrating trauma, such as a knife, and ballistic trauma caused by guns.This Manual accompanies the course and it's aim is to "demystify the body" and show how to control massive blood loss. Interventions, whether they be military or civilian, are descrbed in full, and techniques derived from the battlefield and world-wide hotspots in trauma -are exemplified within this book.

Hip osteoarthritis is a highly prevalent health condition among adults world-wide, and hip replacement surgery is the most common intervention for treating disabling end state hip osteoarthritis. In this book, the authors present current research in the study of the procedures, potential complications and postoperative rehabilitation in hip replacement surgery. Topics discussed include the nature and prevalence of hip replacement surgery among ageing adults and the impact of prognostic factors such as age, gender, and body weight; the wear factor in total hip replacement bearing surfaces; hip replacement rehabilitation; forecast factors and management alternatives in hip fracture; and fretting wear at the stem-cement interface in total hip replacement.

Evidence suggests a direct correlation between the quality of postoperative orthopaedic rehabilitation and the effectiveness of the surgery. Clinical Orthopaedic Rehabilitation, 4th Edition, helps today's orthopaedic teams apply the most effective, evidence-based protocols for maximizing return to function following common sports injuries and post-surgical conditions. Charles Giangarra, MD and Robert Manske, PT continue the commitment to excellence established by Dr. S. Brent Brotzman in previous editions, bringing a fresh perspective to the team approach to rehabilitation. Every section is written by a combination of surgeons, physical therapists, and occupational therapists, making this respected text a truly practical "how-to" guide for the appropriate initial exam, differential diagnosis, treatment, and rehabilitation. Treatment and rehabilitation protocols are presented in a step-by-step, algorithmic format with each new phase begun after criteria are met (criteria-based progression, reflecting current best practice). Expert ConsultT eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, videos, and references from the book on a variety of devices. Revised content brings you up to date with new evidence-based literature on examination techniques, classification systems, differential diagnosis, treatment options, and criteria-based rehabilitation protocols. Extensive updates throughout include new chapters on: medial patellofemoral ligament, shoulder impingement, pec major ruptures, thoracic outlet syndrome, general humeral fractures, foot and ankle fractures, medial patellofemoral ligament reconstruction, the arthritic hip, athletic pubalgia, and labral repair and reconstruction. Easy-to-follow videos demonstrate rehabilitation procedures of frequently seen orthopaedic conditions and commonly used exercises, and new full-color images complement the highly visual nature of the text.

Im experimentellen Teil wird die farbcodierte Duplexsonographie im Vergleich mit der Phlebographie zur Bestimmung von Alter und Lokalisation tiefer Beinvenenthrombosen gepruft. Dass Mobilitatskriterien einen entscheidenden Einfluss auf das Thromboserisiko haben, wird anhand von Beispielen aus der Unfallchirurgie und Orthopadie gezeigt.

Der Stellenwert der postoperativen und posttraumatischen Thromboseprophylaxe unter niedermolekularen Heparinen (NMH) und die dabei notwendige Mobilitatsprufung und kontrolle wird im speziellen Teil des Buches erlautert.

Knee injuries are common occurrences that affect the young active population and can lead to subsequent long term joint degeneration. This book provides an overview of current research examining knee injury mechanisms, prevention, and treatment options. Detailed discussions are included related to current treatment options for ACL injury, PCL injury, meniscal tears, patellofemoral instability, and combined knee pathology. Additionally, current advances in tissue engineering in ACL reconstruction and results following transphyseal ACL reconstruction in adolescents are examined. Furthermore, biomechanical studies and computerised modelling techniques are highlighted as methods for determining the mechanisms and sequelae of knee injuries, thus aiding in the development of injury prevention programs.

What do you need to do before sitting the written component of the FRCS (Tr and Orth) examination? Practice, practice, practice. Sadly the MCQs and EMQs in the actual examination are not this straightforward. This book will help the orthopaedic surgeon preparing for the written part of the examination to be ready to face the task ahead. The MCQs and EMQs appear in the same format as the examination and cover the syllabus topics. Divided into subspecialty chapters, including trauma and basic science, this book is ideal for use alongside a revision plan. The questions have detailed answers and selected references, arming readers with the knowledge they need to approach the topic correctly. Written by recent, successful examination candidates, this question-and-answer-based revision guide is ideal preparation for the FRCS (Tr and Orth) examination as well as being helpful for other postgraduate orthopaedic exams.